Southeastern Retina Associates, P.C. in Knoxville - Ophthalmology
Southeastern Retina Associates, P.C. - NPI 1104097310
Southeastern Retina Associates, P.C. is a Ophthalmology in Knoxville, Tennessee. Southeastern Retina Associates, P.C. practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Southeastern Retina Associates, P.C. is 1104097310. The last update date is 2023-01-16.
Southeastern Retina Associates, P.C.'s current location address is 9050 Executive Park Dr Ste 202a, Knoxville, Tennessee. You can contact this provider via phone number 4237561512 and fax number 8659343884. The mailing address for Southeastern Retina Associates, P.C. is 9050 Executive Park Dr Ste 202a, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Retina Associates, P.C. |
|---|---|
| Address | 9050 Executive Park Dr Ste 202a, Knoxville, Tennessee |
| Phone Number | 4237561512 |
| Fax Number | 8659343884 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Laverghetta Andrew |
| Telephone Number | 8654747596 |
NPI Number Detail
| NPI Number | 1104097310 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2023-01-16 |
Provider Mailing Address Detail
| Address | 9050 Executive Park Dr Ste 202a |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379234670 |
| Phone Number | 4237561512 |
| Fax Number | 8659343884 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3715425 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southeastern Retina Associates, P.C. by the Centers for Medicare & Medicaid Services?
The Southeastern Retina Associates, P.C. has been issued the NPI (National Provider Identifier) 1104097310. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southeastern Retina Associates, P.C. is geographically located?
The Southeastern Retina Associates, P.C. is physically situated at the following location: 9050 Executive Park Dr Ste 202A, Knoxville, TN, 379234670.
What is Southeastern Retina Associates, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southeastern Retina Associates, P.C.'s specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
When was the Southeastern Retina Associates, P.C.'s 1104097310 issued?
The Southeastern Retina Associates, P.C.'s 1104097310 was issued on 2008-03-14.
As of what date was the information pertaining to Southeastern Retina Associates, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeastern Retina Associates, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-01-16.
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